IN BRIEF Traditional methods of screening for and diagnosing gestational diabetes mellitus (GDM) have been challenged, leading to the development of new screening guidelines by the International Association of Diabetes and Pregnancy Study Groups (IADPSG). This study is a retrospective comparison of pregnancy outcomes based on the Carpenter and Coustan (CC) and IADPSG screening guidelines. It demonstrates that adoption of IADPSG guidelines increased the rate of GDM diagnosis and resulted in more women with diet-controlled GDM. However, a decrease in adverse pregnancy outcomes was not noted. Interestingly, women diagnosed by IADPSG criteria who had diet-controlled GDM had less maternal weight gain than those screened with the CC criteria who did not have GDM but did have an elevated 1-hour oral glucose tolerance test result.

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Background Low household food security (HFS) and high cervical cancer rates have been reported in Appalachian Ohio. High antioxidant intake may reduce the risk of human papillomavirus (HPV) infection and progression to cervical cancer. Study Objective To examine interrelationship of HFS, produce intake/ behaviors, and cervical health in adult women living in rural Appalachia. Method Survey of females 蠅 21 years [USDA HFS module, produce intake and behavior‐related instrument, and Risky Sexual Behavior (RSB) Index questionnaire]. Clinical HPV results were obtained. Results Participants (n=153) [HPV‐negative, n=139 (91.4%); HPV‐positive, n=13 (8.6%)] were 29.4±7.8 years. For HFS, 113 (75.3%) had high and 37 (24.7%) had marginal, low, or very low HFS. Statistically significant test results showed food insecure group had a higher RSB scores compared to their counterparts (p<0.001). RSB scores were statistically significantly higher in HPV‐positive group than HPV‐negative group (p=0.021). Test statistics provided a significant difference between food secure and food insecure groups in median perceived diet quality scores 78.68 and 59.57 respectively, p=0.014. Conclusion Food insecurity was associated with high RSB score and low perceived diet quality. Further studies are required.

Leiomyoma can be found concomitant with pregnancy and can cause complications during labor, delivery, and postpartum management. In the present case, a 26-year-old nulliparous patient at 39.4 weeks gestational age with a 12×9-cm retroplacental leiomyoma underwent a spontaneous vaginal delivery. Nine weeks after delivery, the patient presented with acute pain and vaginal bleeding. Immediate manual removal of the bulk of the leiomyoma tissue via vaginal approach was performed. Four weeks later, the patient returned for removal of the remaining tissue via hysteroscopic excision. This case demonstrates that a large retroplacental leiomyoma can be associated with both immediate and delayed postpartum complications, and it can be managed in a minimally invasive way.